School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Centre for Health Sciences Research, The University of Queensland, Brisbane, Australia.
Disabil Rehabil. 2023 Oct;45(20):3379-3387. doi: 10.1080/09638288.2022.2122600. Epub 2022 Sep 15.
To investigate the immediate effects of wearing novel sensory-stimulating textured insoles on balance and gait in 41 people with multiple sclerosis (pwMS).
Assessments of balance (firm/foam surface; eyes open/closed) and walking (when negotiating even/uneven surfaces) were performed wearing textured insoles, smooth insoles, shoes only, and barefoot. Outcome measures were centre of pressure (CoP) movement during standing (elliptical area, sway path velocity) and spatiotemporal gait patterns (stride/step width, stride time, double-limb support time, stride length, velocity).
Wearing textured insoles led to reductions in CoP velocity measures when standing on foam with eyes open and closed when compared to barefoot ( values ≤0.02). Textured insoles did not appear to be consistently superior to smooth insoles or shoes only for improving gait. Relative to the insole/shoe conditions, walking barefoot led to poorer gait performance for the even and uneven surface tasks ( values ≤0.03).
For pwMS, stimulating the foot with "texture" appears to provide enhanced sensory input with the capacity to improve CoP movement control during standing; offering a potential new treatment option for balance rehabilitation. Further research is needed to identify which individuals may benefit most from textured insoles.Implications for rehabilitationTextured shoe insoles, designed to stimulate plantar mechanoreceptors, are a novel approach to improve standing balance and walking patterns in people with multiple sclerosis (pwMS).Wearing textured insoles for the first time can lead to improvements in centre of pressure movement control when standing on an unstable compliant supporting surface.Textured insoles offer a potential new treatment technique for balance rehabilitation in pwMS who show early signs of diminished foot sensation.
研究 41 名多发性硬化症患者（pwMS）穿新型感觉刺激纹理鞋垫对平衡和步态的即时影响。
评估平衡（硬/泡沫表面；睁眼/闭眼）和行走（在不平坦/平坦表面行走时），穿着纹理鞋垫、光滑鞋垫、仅穿鞋和赤脚。测量指标为站立时的中心压力（CoP）运动（椭圆面积、摇摆路径速度）和时空步态模式（步幅/步宽、步幅时间、双支撑时间、步长、速度）。
与赤脚相比，穿纹理鞋垫在泡沫表面睁眼和闭眼站立时 CoP 速度指标降低（ 值≤0.02）。纹理鞋垫在改善步态方面似乎并不总是优于光滑鞋垫或仅穿鞋。与鞋垫/鞋条件相比，赤脚行走在平坦和不平坦表面任务中步态表现更差（ 值≤0.03）。
对于 pwMS 来说，用“纹理”刺激脚部似乎可以提供增强的感觉输入，从而改善站立时的 CoP 运动控制；为平衡康复提供了一种新的潜在治疗选择。需要进一步研究以确定哪些个体可能从纹理鞋垫中受益最大。
设计用于刺激足底机械感受器的纹理鞋鞋垫是改善多发性硬化症患者（pwMS）站立平衡和步态模式的一种新方法。首次穿纹理鞋垫可改善在不稳定的顺应性支撑表面站立时的 CoP 运动控制。对于表现出足部感觉减退早期迹象的 pwMS 平衡康复，纹理鞋垫提供了一种新的潜在治疗技术。
